SB 1060 — Medicaid Oversight

Florida Senate - 2025 CS for SB 1060 By Senatorthe BrodeurAppropriations 10-01068-25Committee 20251060__on AHealth billand toHuman beServices; entitled An act relating to Medicaid oversight;

and Senator Brodeur 603-03589-25 20251060c1 A bill to be entitled An act relating to Medicaid oversight;

amending s.

1.01, F.S.;

defining the term “Legislative Committee on Medicaid Oversight”;

establishing the Joint Legislative Committee on Medicaid Oversight within the Office of the Auditor General for specified purposes;

SectionSubsection 11.405,(20) Floridais Statutes,added isto createdsection 1.01, Florida Statutes, to read:

11.4051.01 JointDefinitions.—In Legislativeconstruing Committeethese onstatutes Medicaidand Oversight.—each Theand Joint Legislative Committee on Medicaid Oversight is created Page 1 of 5 CODING:

Florida Senate - 2025 CS for SB 1060 10-01068-25603-03589-25 20251060__20251060c1 withinevery theword, Officephrase, ofor thepart Auditorhereof, Generalwhere establishedthe undercontext s.will permit:

11.42(20) toThe ensureterm that“Legislative theCommittee stateon Medicaid programOversight” ismeans operatinga incommittee accordanceor withcommittees designated by joint rule of the Legislature’sLegislature, intentby andthe toPresident promoteof transparencythe Senate or the Speaker of the House of Representatives, or by agreement between the President of the Senate and efficiencythe inSpeaker governmentof spending.the House of Representatives.

Section 2.

Section 11.405, Florida Statutes, is created to read:

11.405 Joint Legislative Committee on Medicaid Oversight.— The Joint Legislative Committee on Medicaid Oversight is created to ensure that the state Medicaid program is operating in accordance with the Legislature’s intent and to promote transparency and efficiency in government spending.

MEETINGS.— (a) The committee shall be composed of threefive members of the Senate appointed by the President of the Senate and threefive members of the House of Representatives appointed by the Speaker of the House of Representatives, with each member serving a 2-2-year year term.

The chair and vice chair shall be appointed for 1-1-year year terms, with the appointments alternating between the President of the Senate and the Speaker of the House of Representatives.

112.061.Page 2 of 5 CODING:

Words stricken are deletions;

words underlined are additions.

Florida Senate - 2025 CS for SB 1060 603-03589-25 20251060c1 112.061.

(2) COMMITTEE DUTIES.— (a) The committee shall evaluate all aspects of the state Medicaid program related to program financing, quality of care and health outcomes, administrative functions, and operational Pagefunctions 2to ensure the program is providing transparency in the provision of 5health CODING:care plans and providers, ensuring access to quality health care services to Medicaid recipients, and providing stability to the state’s budget through a health care delivery system designed to contain costs.

Words stricken are deletions;

words underlined are additions.

Florida Senate - 2025 SB 1060 10-01068-25 20251060__ functions to ensure the program is providing transparency in the provision of health care plans and providers, ensuring access to quality health care services to Medicaid recipients, and providing stability to the state’s budget through a health care delivery system designed to contain costs.

Review the Medicaid managed care plans’ encounter data, financials,Page and3 auditsof and5 theCODING: data used to calculate the plans’ achieved savings rebates and medical loss ratios.

Words stricken are deletions;

words underlined are additions.

Florida Senate - 2025 CS for SB 1060 603-03589-25 20251060c1 financials, and audits and the data used to calculate the plans’ achieved savings rebates and medical loss ratios.

Page6. 3 of 5 CODING:

Words stricken are deletions;

words underlined are additions.

Florida Senate - 2025 SB 1060 10-01068-25 20251060__ 6.

(c) The committee, in the course of its official duties, must be given access to any relevant record, paper, or document inPage possession4 of a5 stateCODING: agency, any political subdivision of the state, or any entity engaged in business or under contract with a state agency, and may compel the attendance and testimony of any state official or employee before the committee or secure any evidence as provided in s.

11.143.

The committee shall also have any other powers conferred on it by joint rules of the Senate and the House of Representatives, and any joint rules of the Senate and the House of Representatives applicable to joint legislative committees apply to the proceedings of the committee under this section.

(4) AGENCY REPORTS.— Page 4 of 5 CODING:

Florida Senate - 2025 CS for SB 1060 10-01068-25603-03589-25 20251060__20251060c1 (a)in Beforepossession implementingof anya changestate toagency, theany Medicaidpolitical managedsubdivision careof capitationthe rates,state, theor Agencyany forentity Healthengaged Carein Administrationbusiness shallor notifyunder thecontract committeewith ofa thestate changeagency, and appearmay beforecompel the committeeattendance toand providetestimony aof reportany detailingstate theofficial managedor careemployee capitationbefore ratesthe andcommittee administrativeor costssecure builtany intoevidence theas capitationprovided rates.in s.

11.143.

The committee shall also have any other powers conferred on it by joint rules of the Senate and the House of Representatives, and any joint rules of the Senate and the House of Representatives applicable to joint legislative committees apply to the proceedings of the committee under this section.

(4) AGENCY REPORTS.— (a) Before implementing any change to the Medicaid managed care capitation rates, the Agency for Health Care Administration shall notify the committee of the change and appear before the committee to provide a report detailing the managed care capitation rates and administrative costs built into the capitation rates.

Section 2.3.